Active NPI
CDM Behavioral Management LLC
- Case Management Agency
- Hialeah, FL
National Provider Identifier
1346868106
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- Legal business name
- CDM BEHAVIORAL MANAGEMENT LLC
- Practice address
- 1250 W 53Rd St Apt 18
Hialeah, FL 33012-3086 - Phone
- (305) 804-4708
- NPI assigned
- Jul 8, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Daineris Valera Rivero
- Title
- Business Manager
- Phone
- (305) 804-4708
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | Primary |
Addresses
Primary practice location
1250 W 53Rd St Apt 18
Hialeah, FL 33012-3086
Mailing address
1250 W 53Rd St Apt 18
Hialeah, FL 33012-3086
Phone (305) 804-4708
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2004201983 | Medicaid | FL |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Case Manager/Care Coordinator
- Hialeah Gardens, FL
- NPI 1346804895
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1594166400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1594166400000",
"number": "1346868106",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1250 W 53RD ST APT 18",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330123086",
"telephone_number": "305-804-4708"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1250 W 53RD ST APT 18",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330123086",
"telephone_number": "305-804-4708"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CDM BEHAVIORAL MANAGEMENT LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-07-08",
"last_updated": "2020-07-08",
"certification_date": "2020-07-08",
"status": "A",
"authorized_official_last_name": "VALERA RIVERO",
"authorized_official_first_name": "DAINERIS",
"authorized_official_title_or_position": "BUSINESS MANAGER",
"authorized_official_telephone_number": "305-804-4708"
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2004201983",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hialeah, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.